Recommendations, Tests, and Immunizations

New Carter Clinic Spring Recommendations

  • 1 Coronavirus & Flu – Keep Contact to a Minimum, Wash Hands with Warm, Soapy Water, Use Hand Sanitizer Frequently, Wear a Mask if You are Sick, and listen to the Advice of Medical Professionals, NOT Social Media
  • 2 Get Vaccine for COVID at the Earliest Availability
  • 3 Increase Fluid Intake need to Drink ½ Body Weight in Ounces of Water Daily need electrolytes.
  • 4 Be Aware of Skin Cancer: Skin Cancer is Almost an Epidemic Due to Time in the Sun and Tanning Beds, Which can be Very Deadly.
  • 5 HIGH Allergy Alert
  • 6 HIGH Pollen, Poison Ivy, and Grass Alert
  • 7 Watch for ticks, bees, insects of any kind.
  • 8 Wear bug spray with DEETS, if possible.
  • 9 Spray yards, if possible.
  • 10 Immunizations
  • 11 Stay Current with Vision Exam, Hearing Testing, and School Physical
  • 12 Allergies: Remember to Take Medication—Recommend NON-Drowsy Medication
  • 13 Alcohol Screening: Be Aware, Reach Out, and Contact Your Doctor for More Information
  • 14 Alert for Bullying – Physical and Emotional
  • 15 Alert for Personality Changes Consistent with Substance Abuse
  • 16 Alert for Depression: Be Aware, Don’t Feel Alone, Reach Out, and Contact Your Doctor
  • 17 Common Cold: Remember to Wash Hands and Sanitize for Spread Prevention
  • 18 Coughing: Remember to Wear Masks in Public for Spread Prevention
  • 19 Stay Active and be Aware of Weight Management for Healthy Living and Disease Prevention
  • 20 Need Evaluation if Experiencing Appetite and/or Fluid Intake Changes
  • 21 Wound Care Consideration: Wash and Clean the Area After the Bleeding Subsides, but Before the Final Dressing
  • 22 Monitor hypertension: Check 1–2 times per month while sitting with the fleet flat, and bring your log to each appointment.

Elderly Considerations in the COVID-19 Situation

  • 1 Continue to Practice Social Distancing wash hands; do not touch the Face (i.e. nose, eyes, and mouth)
  • 2 If gloves change after being worn in Public to Stop the Spread of germs, contact with the Virus will Spread from
  • 3 Dirty Gloves to Clean Surfaces
  • 4 Keep a Water Supply, Eat Well-Balanced Meals, and Evaluate Fluid and Food Intake
  • 5 If You Feel Sick – Call for Aid Before You Get Medical Care
  • 6 Be Aware of stress and reach out to Friends and/or family.
  • 7 PLAN AHEAD: Find phone numbers for your Physician, Pediatrician, Pharmacist, and Veterinarian
  • 8 EMERGENCY CONTACT: Keep Neighbors, Family Members, or Persons in Mind and Aware of Your Needs
  • 9 Other Numbers to Include: Poison Control Center (800)222-1222, Animal Poison Control (888)426-4435, Disaster
  • 10 Distress Helpline (800) 985-5990, or text “TalkWithUs” to 66746

Carter Clinic Diabetic Recommendations

  • 1 A1c – every three months
  • 2 Urine Micro – annually
  • 3 Dilated eye exam annually
  • 4 Diabetic foot exam annually
  • 5 ACE or ARB medication
  • 6 ASA
  • 7 If taking Metformin – annual B12 level
  • 8 If Taking Invokana, Jardiance, and Farxiga: CMP every three months
  • 9 It is not mandatory to stick your finger. Now, there is a patch that will monitor your blood sugar continually, as often as you like OR as needed.

12 Foot Care Tips for Diabetics

  • 1 Treat your diabetes first
  • 2 Check your feet daily
  • 3 Ask your provider about special shoes
  • 4 Wash your feet thoroughly every day
  • 5 Keep your feet soft and smooth
  • 6 Gently remove corns and calluses; OR, better yet, ask your doctor
  • 7 Keep your toenails trimmed at all times
  • 8 Avoid walking barefoot
  • 9 Protect your feet from hotter and colder temperatures
  • 10 Regularly promote blood flow to your feet
  • 11 Exercise and eat right
  • 12 Get advice from your doctor

Carter Clinic Recommendations

  • 1 BMI: Each visit for BMI over 25 (dietary recommendations)
  • 2 Mammogram: annually for women aged over 40 years
  • 3 Cervical Cancer Screening: annually for women who have not had a hysterectomy, every five years for women who have had a partial hysterectomy, OR every ten years for a total hysterectomy
  • 4 Colon Cancer Screen/Cologuard – every three years
  • 5 Annual Labs: Preventative Care: CBC, CMP, TSH, T4, Urinalysis, Hepatic Function, Lipid, Direct LDL & CK
  • 6 EKG: baseline for new patients OR anytime the practitioner feels is necessary
  • 7 PSA: annually for men age 50 and above
  • 8 UDT (Urine Drug Test): required for a minimum of every six months for controlled drugs and may be more frequent if indicated

Medicare Recommendations

  • Statin Therapy for the Prevention and Treatment of Cardiovascular Disease—also Recommended for Diabetic Patients
  • Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
  • Hypertension: Improvement in Blood Pressure
  • Controlling High Blood Pressure
  • Documentation of Current Medications in the Medical Record
  • Preventive Care and Screening: Screening for Depression
  • Tobacco Use and Help with Quitting
  • Colorectal Cancer Screening
  • Diabetes: Medical Attention for Nephropathy
  • Pneumococcal Vaccination Status for Older Adults
  • Falls: Screening for Future Fall Risk
  • Monitoring the use of High-Risk Medications in the Elderly
  • Ischemic Vascular Disease (IVD): Use of Aspirin or Another Anti-platelet
  • Breast Cancer Screening
  • Cervical Cancer Screening
  • Dementia: Cognitive Assessment
  • Monitoring Diabetes: A1c
  • Closing the Referral Loop: Must Receive Specialist Report

CDC Immunization Recommendations:

  • Influenza inactivated (IIV) or Influenza recombinant (RIV) OR
  • Influenza live attenuated (LAIV)
  • Tetanus, diphtheria, pertussis (Tdap or Td)
  • Measles, mumps, rubella (MMR)
  • Varicella (VAR)
  • Zoster recombinant (RZV) (preferred) OR
  • Zoster Live (ZVL)
  • Human papillomavirus (HPV) – Female and Males
  • Pneumococcal conjugate (PCV13)
  • Pneumococcal polysaccharide (PPSV23)
  • Hepatitis A (HepA)
  • Hepatitis B (HepB)
  • Meningococcal A, C, W, Y (MenACWY)
  • Meningococcal B (MenB)
  • Haemophilus influenzae type b (Hib)